WESTSIDE EYE CLINIC
NPI: 1831282524
· MARRERO, LA 70072
· Specialist
· NPI assigned 10/02/2006
$943.57
Total Medicaid Paid
Provider Details
| Authorized Official | SONNIER, EARL (PRESIDENT) |
| NPI Enumeration Date | 10/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
128 |
$327.11 |
| 2019 |
13 |
$47.42 |
| 2020 |
52 |
$569.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
130 |
107 |
$730.84 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
12 |
$212.73 |
| 1036F |
|
25 |
14 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
25 |
14 |
$0.00 |